HomeMy WebLinkAboutPermit Plumbing 2002-7-29
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Job# 02-00907-01
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Page 1 of 2
TRANS#:01-0010074
DATE:JUL 29 2002
AMT RECD:2 $ 51.75
CHANGE:
CASHIER:061
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CITY OF SPRINGFIELD, OREGON
COMMERCIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 02-00907-01
225 Fifth Street
Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
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Location Of Proposed Site: 5126 Main St Spr
Assessors Map#: 17023332
Lot: Block: Addition:
Tax Lot #: 03001
Subdivision:
Owner:
Fireside Laundry
5126 Main Street
Phone Number: 541-345-0311
City/State/Zip: Springfield, OR 97478
Repair Value: $0
Address:
Scope Of Work: Plumbing
Replace 40 feet water line
Contractor Type
Plumbing Contr
Registration # EXPir~qb Date
49561 ~~~~~
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Quad Area: Land Use: r:::,~~tO ~ '6~~~~c:P\'3f ~'b~dings:
# Of Units: Zoning Code: ~~~I::j 0 S~ rS!>'~ Occupancy Group:
Constr. Type: Bedrooms: '6~~ ~'6'>> ~.:&.o Heat Source:
Water Heater: Range: ""," S\ ~"'\. ~\ Sq. Footage:
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To request an inspection call the 24 hour recording at72~769. All inspections requested before 7:00
a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following
working day.' \0
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"'\O~. 60Q\0 ~~o'i>'o ~'Y>~O ~'O ~ 0<;1'0
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~o\' p..~ g ~ ~7f. 'O<;l\'O~' 0(\ ~'l-"?:.
,(\0"0 :R~i9ht~(feet):\~'O~\.)0'~
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Current Units: c'3PI~W~.ose~\l;Jnits:
Census Code: Does not apply,u~ C <>,
Contractor
Susan Arnold
PO Box 70526, Eugene, OR 97401
Phone
541-484-3787
Office Use
Water Line
I
- Prior to filling trench.
Required Inspections
Plumbinq
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? D
rArea (Sq. Feet)
Main: Accessory:
# Of Stories:
Total:
Fee
Paid On Receipt#
Plumbinll
07/29/2002 10074
Value/Quantity
Fee Amount
Minimum Plumbing Permit Fee
$.00
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.
Fee
State Surcharge - Plumbing
Water Service Footage
8% Administrative Fee - Plumbing
Total Plumbing
Grand Total
h-~~
Signature
Job# 02-00907-01 I
Paid On Receipt#
r Plumbing
07/29/2002 10074
07/29/2002 10074
07/29/2002 10074
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Page 2 of 2
Value/Quantity Fee Amount
$3.15
40 $45.00
$3.60
$51.75
$51.75
?~;;tq ~O.7....
Date